Organization Active NPI

William Family Development LLC

  • Early Intervention Provider Agency
  • Charlotte, NC
National Provider Identifier
1205388014
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
WILLIAM FAMILY DEVELOPMENT LLC
Practice address
11430 Coreopsis Rd
Charlotte, NC 28213-9261
Phone
(704) 905-5688
NPI assigned
Oct 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Francina Brewer
Title
Compliance Administrator
Phone
(704) 905-5688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

11430 Coreopsis Rd
Charlotte, NC 28213-9261

Mailing address

PO Box 49132
Charlotte, NC 28277-0074

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1205388014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49132",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11430 COREOPSIS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282139261",
            "telephone_number": "704-905-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM FAMILY DEVELOPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "FRANCINA",
        "authorized_official_title_or_position": "COMPLIANCE ADMINISTRATOR",
        "authorized_official_telephone_number": "704-905-5688"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.